HomeMy WebLinkAbout17-18141 CITY OF ZEPHYRHILLS
� � 5335-8TH STREE7
(813)780-0020 18141
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18141 Address: 5747 6TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS ,
Est. Value: Parcel Number: 11-26-21-0010-01100-0110
Improv. Cost: 5,395.00 OWNER INFORMATION
Date Issued: � � i3�(�- ��- Name: WAVE LENGTHS HAIR DESIGN I INC
Total Fees: 65.00 Address: 5747 6TH ST �
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-3462
Date Paid: 2/13/2017 Phone: 813-997-1860
Work Desc: A/C CHANGEOUT 4 TON ,
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00 �
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Ins ections e uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
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NO OCCUPANCY BEFORE C.O.
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CONTRACTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7d90-0020 City of Zephyrhills Permit A plication Fax 813-780-0021
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Owner's Address •���� G2� 1 ��/I GL!'✓- ' Owner Phone.Number '
Fee Simple Tltlelioldec Name �— • Owrner Phone Numbe�
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JOB ADDRESS �/'T� (� � � �^' l�..LS . LOT.# �
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WORK PROPOSED A�NEW:CpNSTR . ADD/AI:T Q� SIGN' 'Q � Q DEMOLISH
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PROPOSED?USE , � Q SFR. []. 'COMM' . Q OTHER �
TYPE OF CONSTRUCTION• �-� Q� "'BLOCK ' Q FRAME � '� �STEEL 'Q
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DESCRIPTION OF WORK' - 1���'1D �� �LZL(_° � TDI�I � �f� �� 2- �-° �%11�jr
BUILDING`SIZE�' � � � , 'SQ FOOTAGE�: ,_ _ HEIGHT$
OBUILDING � VALUATION�OF�TOTAL CONS7RUCTION � �
QELECTRIGAL $ : � AMP SERVICE; �Q �'PROGRESS ENERGY Q W:R.E.C.
QPLUMBING_ � $ ' ' `
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QMECHANIGAL $' ����f ` VALOATION OF;MECHANICpL INSTACLATION.,. , ��
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QGAS Q ROOFING �Q; ,,; SPECIALTY;:Q;• :-OTNER��; : � -_
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QY�S. NO
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BUILDER COMPANY" °� ' ` `:,°'' ` • ` _ , ` . -
SIGNATURE REGISTERED Y/ N . '�"EeE cuR��=` ' ' Y/N` '
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ELECTRICI�IPI; . � . . . - - >�COMPANY' " :-:.. '4: �.,:: =t� ,;��.;`. �-';. '• - - '
SIGNATURE � REGISTERED Y/ N F.EE CURREt�4�` � :�Y/-N
Address� .� • � " � ' � .. y,. ...LI_cense:#�:. � .'
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PLUMBER' , ' _ C.OMPANY ,..,.��, A'. ,a .� .�..,'._� .- : .
SIGNATURE'"�'` �� � �"REGIS.TERED Y.L,•N,s'� .-FEE CURREk,� , .Y/N:.;: , `
Address _ � , . - 5. •r: ' - , . _ ,
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MECHANICAL�-`� � - - � coenPi►rnr ��.�i9-lfi2 `5.�o,ol�n1��5.�` �—` �
SI(3NATURE� � REGISTERED Y.:/. N �e cur�En„ `Y.I�N
Addreas;�='_._ L�!/' �'.C�- �. .Z" %LG6- `.�� � 'License,#� ::��17�,3 !�p .
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SIGNATURE�: ..�3; �.� ''`: �P� ,, _ ��`` ''a - � ' :REGISTERED • , , Y/ I�F�.,,: _y .j�e'CURitE�:• Y'/N
Address�-r_ ` ; „' .,... ,.-... ..- ; _r,- .._ . ._. #� .:. ... _' ^ .,Licerise#�� " ` - - `
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RESIDENTIAL�;- �Attaqli'(2)dPlot�Plans;:(2)s"ets=�of�Balldfng':Plans;?('1)set'of<EnergyForms;frR="O=W�Permlffo�new�oonstrucfion,. _.
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�•Y y Minimum�.ten,;(10)�v+roriiing�days;after'subm�ttal'date:4Required onsife;Constcuctlon?Plans;�StormwaterPlans�w/SIIt Fence instelled,
"'"" - - "`�"�SaMtary�adlftles,�&sl�dumpster��8lte°Worfc�Permit-fcr�subdiVislons/leTge�pro]eofsy"���`:^,;:�< " ' ,
" -t�_,.��LST I j .'�. ..�::.. ..«..C.` - —..
COiYIMERC1Al. Attach(3)-i;omple�e sets'of Bullding`Plans plus a Ufe Safe(y�Page;(1)set of Energy Forms.R-O-W�Permit fcr neW:construction. '-
Minimum ten(10)woricing days after submlthal date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence Installed,
- Sanitary Facllitles 81 dumpster.Site Work Permit for all new.proJ�cts::All commerGal.re,qul[ements,must meet campllance
-SIGN PERMIT AttacFi"(2)"sets of"Engineer.ed�Plans:r:_•�:�:: . . .. . a•-_ - ' '
""PROPERTY SURVEY required for all N�W_constructlon.,. ' �
_�.,,_ _ _ -- - -- - _ - _ _ -
Dl�ec`tlons: _.,s•�,.j_--., , -. _ � - - - , �_�
Ftll out applicaHon completely: ___ _ _ - -- -�"
Owner 8 Contractor slgn back of appltcatlon,n`otarized �
If over 5�500,,a,Notice.of Commencement Is required. (AIC upgrades over$7500) ;: ' .
.. •:••;�:�=:�;;r.�,u<'^..
qgent(for Uie oontractor)"or Powe�of Attomey(to�the owinerj�would be someone with notarized letter from owner authorizing same
_ .p!lFQt TFlE.COIlN.T.ER:PERMITI'ING-..-_---:-(FronRof-ApPlication�Only)- ---,_' , `. ;,. .: _ _, -
Reroofs if shingles Sewers -Service Upgrades A/C Faaces(PIot�Survey/Footaga)_ __ __ __ - -�-—- _
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. ....._...._.._- ------ _____ __ _ _- ._ . _ _ - : . . . .. .. . � �r;:;
Drivewaya-Not over Counter if on publfc roadways:.needs ROW � ' _
N0T1C�OF DEED RE�TRICTIONS: The undersigned;undergtar�ds�,t��tfthl�°��qmit,m�yb�_sub)ect to,"deed",r�strlctlon`s',��._'��.�,,�_:�n
which may�be=more=rest�ictive�th�Fl�-Countyui�eg�latfons:�T6��•uhderslgned�'as�umes��re�p�nsiblltty-�for�compltance`"v►+idth any
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appllcable deed�restrlctlons. , . � -Y� - .� . -
-.:.-,.,.,:. �-,,:._ .. .., _ - _.,.._. _. .__. ...,.
UN�IC@NSED=CONTRs4CTORS .AND CON'�RACTOR RESPQNSIBILITIES: -=-lf the=�ovvn�r�ha�r�hire�d°�a��:cmntractor or
contractors to undertake work, they may.,be�,requlred::to�b�-;licensed�Irt;accordance.wtth�stat�.and�IocaO:regulations:�If�ther��- � •
. . .�.� ,.....�Srci.�}_..,�:_'�.��..'.::....<ny �..r.:,.«c..._::a...r...,....r.rt....>..... ..e...
corotractor�ls-not i(cens�ii=as�te'yulred:tiy law, botfrthe owner and contrac@���may��ber°clted-for"���misdeme�nor viol�tton �
under state law. If the owner or Intended:contrac.tor.:.ere�uncertaln as 4o wh�t ii^.-enaing.requlreKnents:may�:epply���or�-tFie•� -�_ -- '
�, .,,.
intended worlc, they are�dvlsed fo i:orit�c�the.Pasco CounR�r.�3uilding'Insj��cQlon.D�ri�lon--l.ice�sing Section et 727-84T- ��
�00�. Furthermore� If the �ivvrier ha��hired� coni�actor o� contractor�, he ls a�vi�ed to have tthe contractor(s),,slgn_.,
portions of the,"conttector �lock° of thls„applh:atton:�.for which.they_wtilt nb.�-r.espo[�sl�le.-�-If:.you;�-��.:gh� ��ii�:'�ign"as"4i�a
� _ _.__v. ,_,�,
contractor, that may be an indication that'Ne`-is not:properly ticensed`�nd�'Is'�not"en4ltled to pernnitti'ng priuileges In Pasco;: ,
County. ,. . _ .. ,.
TRt�NSPORTAT10N=1MPAC4�UTIL{TIES�rAARl4C'Iy�AN�RESOU�tCE RECOVERIf-•FEE3:'The undersigned understands
4��C'����s�:,r�A����-1��,��:=r��:and-R�.�.ue�e.Rsc�,���.y.F�as may,':�R�9y�,4�Q��wco��trzactl6n:of naw:.bu��dings;<cha�ge•����=- - � _
, use ln existing buildings,�or„expansterr�of�extatiri�;�buil�ings� as specifled.in Pasco Co'unty Ordinance number�9-07 and
90-07, as amended.,,,,The undersigned aiso.�understands, that:'such fees;;as�may_���.due;;vu.11l,.be.idenfifled at the=time�of���� -u� � '-
permitting. It is furtiier understood that Tra�sportation Impac�'Fee� and'��Resourae.;Reco�ery��Fees..must be paid prlor to
receiving-a °cerfificatenof occupa�cy" or flnal�povuer.;reie�se: :If�the.projact�..does;not•involve�.`a�cert�icate of occ�pancy�or���-��•�� •;
final power-release,:,the:fees�tnu�t�'tie paid;prlor to;permit Issua�ice. Ft�xthermore��ff Pascc�;County"1lVater/Sew�r:lmpact .
,. ..... -.
_
feesaredu�;.they�.must:be,p�ld>priorto..permit:-1§guanc��in_accordancewitt�:appllcatile:Pasco�:County,o"rillnances. -
COOd3TRUCTION'LIEN°LAW(Ciiapter 713� Florttla Statutea,as am�nded): if valuatlon of work Is$2,500.00.oc.more,d� ,
certify that I, #he �pplicant;:-have-been proytded_wtth a--copy�of°-�the�".F:.Iorida���onstiuctlon: Lien::Law—Homeowne�'s
Protection Guide� prepared by.�the Flo�ida Depattme�t:.of AgrfcultuP� and Consumer;:Affairs. If the appilcant I� someone . ,
, • �. �'
other than the`owner", i certifyt�:th�t i�h�ve.,obtained�a��copy,of:th��above:.des.cr�tied'ilocui�ent�and,promise;tn,gooa::faith.to .�
deliver It to:.the"owner'"'piioc.;torcommencei�erit:` � � ' � � � � . ' .
C�tdTRAC°TOR'S/OYYNER'S AFFIDAdIl': 1.certify::tteat:�all�th��inform�tion:.l�r•thi�appilcatlon is accurate and that�all work
will'be done in compliance wi4h all.appltcable�lauvs regulating construction, zoning and:�land development. Appl(cation (s
hereby made .to obtain .a.permit:�.�to::;do.�wo�c:;,and;InsCellatlon as indlcefed:-=-�1, ceitify that no wark��or install�ttdn Fias'
commenced prio� to Issu�nce of a pennit'and th�t�.all work will be pertorm�d�to m�et.standard��-of all laws regulating-
construction, County and City codes, zoning regulatiQns� and land d�v�lopment regulations�tn tlie�:jurisdiction.-� 1=al'so
certify that I understand that the r�gul�tions of other government agenci�s may�apply�.to_.the_.intended work, and that it Is
my responstbiltty to Identiho�what.actlons I must�take,;to,be.In�compllance:A.,S,uch.agencies�include but-are.not Ilmfted to: �
�a;,,....:;_... ,>,> , :,,.,.,>, ,.,.
- Department o� E�lvironmental>�Protectton=�yipress.°Bayfiead�, Wetlend Areas and Envfronmentally Sensttive
Lands,WatedWastewater Treatment. � -
- Southwest Florida Water Management-:l�lstrict Vllells; `Cypres.s.� Bay.he"ads�,- Wetland� Areas� Altering
Wat�rcourses. � � - �. ' •
- Army Corps of Engineers-Seawalis�'Docks, NaviBatile Waterways.
- Department of.,Health;;,B,.:ReY�abllitative;_,S.ervtcesLEnvironmentai�Mealth-Unit-Well.s;�Wastev�rater�Tre�finent,
Septla Tanks:.,. . -� � -� � .
- US Environment�l Protection Agency-Asbestos abatement. �
Federal Aviatloq.Authority.=,Runways��
I under�Qai�d that.the�foltowing;:�e9tNctions�pply fo the us�of flll:
- Use qf fi10 is not�Ilowed in:�Ftood:Zone"V"unless expcessly p�rmittsd.
- if the .fill mate�i�l�=1s to be used:In.:Flood Zone. "A", (t Is understbod that-a drainage plan addresstng a
"compensating volume" will be submitted at�ime of�permltting wfiich i� prepared by a profe�s(ona0 engineer �
Iicensed by�the�:�tate of Flotida: . _ ' � ' � � - -
- If ihe flll�-materl�l.is to be�used In Flood �one "Ap in�connectlon�wrlth-a�permitted building using stem wall
� constructton,.I cert(ry,that��ll�:i�illl:b.e.used only.to.flll the area within�the�stem�wall:. �-. �_. � ,
- If fill materlai�1s to be used in .any area; I �certify that .uae. of�.such flll wlll not adversely affect adJacent
properties. If use of fill is_found:to adyersely..�ffect adJaEenf��pr�pertles,,the owner may be cited for vioCating -
the cond�lons>_cf>the buildirig;permit Issued-;uFlder the:'_att�ched_permit°�pplicatlon,°#or:lots�:less�.than one (1)
acre wHich are el�rrated�by,:flit;a�t englneered drainage�plan is requlred.
If 1 am the AGENY FOR TH�.OYVNER;,I;�proml�e in,good..faith to Inform�the�owner:-of�the permitting condftlons�set forth in
this aftidavit`prior to comin�P.icing construction. �I underst�nd thet:a�separate:perrnit may be required for elecMcaf work, ..
plumbing, slgtas� wells,..pvols;. alr..condittoning,�.gas;;qr:other Install�tl�ns noE�spec�ically included�(n.the�application. .A .
p�rm(t issued 5hall be construed to be�a�licenge�to��proceed wlth'tfi�work and_not:as.•authority:=to.=vlolate;�cancel, alter, or ,
seQ aside�ny�provistons of tfie technical.codes;�nor shall issuance of a.permit.prevent the Bulldirig Oiticial from thereafter
requirin.g a._corraction nf-errors_In-plens;;,constructlon.or violations of-any'cod�s. :Every permlt��issued�shall�become invalid
unless the work authoHzed.by suah permit:�s-commenc�d�wlthtn sfx,mo�ths of permit I�su�nce, or if work authorized by
�.
Qhe permit is suspended�or:ebandoned::for..a;period of��ix�.(8)�montFis.:after,the#(me the�wopk�is comrn�nced. An extenston
. - . __�
may.be�re.quested�_In,writing;:.from.tfie`Building,Officia!for a perlod.�not.to�exceed'�ninety�(90)"d�ys a�d�will"demonstrate
justi�able'cause for.ihe extens(on: If work ceases:for nlnety(90)cons.scutive:days�..the)ob�is considered aba�doned.
�V/�ItNING TO OWNER: YO.UR.FAILlJRE;TCI.,.R�EC.ORD,I�.:i�OTpGE:OF.�COMMENCEMEI�T�;EYFF�IIY:RESULT IN'YOUR
PAYING'RNICE,FOR5IAAPROVEMEN.T��:TO:YAUR,PR�R�R1Y:�:I�:YO.U;IH'�'E�1�'T���iOB'�FA�IN�'�F1NAP1EING;'CAN3ULT
WITOi YDUIt L�NDERIOR AN�A�TOIt(VEl(�FDR��R6�OR�IN�.��YOUf�'NOT'ICE't�F°COIIAAIIENC�E(9M�,NT: ' "' �
FLORIDA JURA�:(F.� ,t17:03) : '- . , _ , . . , � ,
. � � � "
I O,WNER OR�1�EIdT CONTRACTO .
Su aib a d�wro (or aflirmed) efore m�thls ' Subscrlbed and' •to(of afArmedpbefore me'�ftit�� �
�3�� �a, /�7 is e� .. �?� _ . . .
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o Is! re ersonall kn •me.or haslhave produced Who.ls/a. onelly.kn • ,me;ot Ifes/hav�,-produced •
' ' ae identlflcatlori: as Identlwca0on.
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' ��� Plotery Public . � `�.- � Notary Publlc
Co I�ston No: �l—f%'l� � Co Is�lon No. 7��"�7
�a��u�ry SY NA 11.CAMPBELL ��������•
Name o►tdo �T'� teqd�6C��lf�d.St�to of Florida Ne „���D4��R����Ftotida
=• •� !�y Comm.,Explre��Jul 19,2017 • ' •= My Comm.,Expir�s�Jui f9.201T : •
y'� o'.� Camrtoieoion�ff 034230 =;�, �;- Commiasion#►f6D3�1230
•��.�.+�,;,�p•�. .,,�Of;`�..
BDrtded�hrouph Nitional Nota►y Assn. Bbnded�Through N�tfonal Not�ty Assn:
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J�� �'~ � ' � � , PROPANE GA� • � ���s�
� � AND AIC �rvc. 5ervice flrderf Propdsal
S�c��988 g�3-7g2�5013 Invoice
Sales, Service & Installations WORK []RDER#lSERuiCEMAi� 74�58 CMR
4441 Allen Rd. • Zephyrhiils, Fl. 33541 LlATEf T I t`�tE TAKEI�I ��l�91�7 �7:��
L � . TAF�.��! E1Y K. H. ��
NOTES. � �Z"' I3ATEITIME P"Ft01Y#Ir'aEI}
CUSTOMEFt#/LO�ATIOhI �21�►5
PHQh#E# 813—��?-18�s�
COIVTACT ERICA -- MANAGER
� ROUTE/SEG! GMR33542
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WAVELEAtGTH� HA I R T3ES I Cfi�l � WAV�LEh1CTN8 HA I R I?ES I Ghl
5747 El'H 5T 5747 ETW 5T �
ZEF'HYRHTLLa FL 3u54� ZEF�HYRHILLS FL3354c
GE7 UNIT INFO -
UI�IT FREEZIhIG UF� / EST. ON NEW UNIT
� DESCRIFTION OF UUQRK � '�Q'i'Y. MATERIALS&SEF2VICES. ' UNIT PRICE '�. AMOUNT-
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' �, � •. RECOMMENDATIO� ' � - , � �
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Annual Maintenance l2ecommended by..Al1",Equiprrrent ManuFacturers. �: � �
Pressures �o Hl T-Sfat � �
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� r ( � REFRIGERANT'R- LBS. '$per IbS. I . _ I
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FILTERS x , x Changed Monthly I I
� FELTEftS x x Ghaoged Monthiy � �
, -- ❑ REGULAR ❑WARFtANTY �OTAL SU�MMARY
Detiumidistaf Settings: When here"C3M', ,When Away 60° ; T-Stat 8t3° O MfAWTENANCE CONTRACT SERViCE i
LtMITED WARRANTY: All materials,parts aad equipment are wartanted by the manufacturers' : � . ' N(ETNOD OF'.PAYMENT CALL i
ar suppliers'written warranty only.AII Iabor perfarmed hy the above named company is warran#ed for '� �
30 days or as othenvise indicated in writing.The above nametl company makes no olher warranties, ❑CASH 0 CK# TOTAL – i
express or implied,and its agents or lechnicians are not authorized to make any such warranpes on MATERIALS�. i
behalfofatwvenamedcompany. . , 0 DESIT �3 CREC}lT ❑OTHER MAINTENANCE �
I have authoriry to ortler Ihe work outlined above whicfi has been salisfactorily compleled.I agree that Seller •
- PROG. W 1 C �
retains hfle to equipment/matenals lumished until final payment is made.If payment is nbt made as agreetl, (�`��n/�'#
seAer can remove said equipmenUmateriais ai Seiler s aXpense.My tlamage re5uiting(mm SBid remov2l Shall t � �t� ���_�O�•
nok be the responsibitity oi Seitec NE7 34 DAYS.A t 1121 SERVtC@ CHARGE Wi�t 6E ADDED MONTHEY TO S
ALL UNPAID BALANCES OVEft 30 DAYS.NO REFUNDS LlATE GOMPLETED `
TECH T� �
i
�l7�/�G� -`✓'4TG i
CUSTOMER SIGNATURE pATE �TOTAL �